Boosting hospital falls prevention using health assistant staff alongside usual care

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2024-10-12 DOI:10.1016/j.pec.2024.108464

Claire Thwaites , Louise Shaw , Rosalie Lui , Debra Kiegaldie , Hazel Heng , Jonathan P. McKercher , Daniele Volpe , Anne-Marie Hill , Matthew Knight , Meg E. Morris

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Abstract

Objectives

Patient education is crucial for preventing hospital falls, yet workforce constraints can hinder targeted delivery. Utilising supervised healthcare assistants can enhance standard care. This study sought to understand factors that impact the feasibility of supplementing usual care with patient falls education delivered by supervised allied health assistants.

Methods

In a qualitative study nested within a randomised controlled trial, focus groups and interviews were conducted with twelve health assistants, seven allied health professionals and two managers from the participating hospital. This elicited insights on barriers and facilitators to implementing workforce redesign to deliver tailored patient falls education. An inductive approach was used to thematically analyse the data.

Results

Three key themes emerged: (i) it was feasible for health assistants to deliver hospital patient education; (ii) patients engaged with hospital falls prevention education delivered by assistants; (iii) hospital workforce redesign can be successfully implemented provided there is system-wide buy-in.

Conclusions

Health assistants can be trained to successfully deliver hospital falls prevention education provided they have adequate supervision, training, and resources.

Practice implications

Sustained implementation requires dedicated staffing hours for service delivery and staff education.

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利用保健助理人员与常规护理一起加强医院跌倒预防工作

目标患者教育对预防医院跌倒至关重要，但劳动力的限制可能会阻碍有针对性的教育。利用受监督的医护助理可以加强标准护理。本研究试图了解影响由受监督的专职医疗助理提供患者跌倒教育以补充常规护理可行性的因素。方法在随机对照试验中嵌套了一项定性研究，对参与医院的 12 名医疗助理、7 名专职医疗人员和 2 名管理人员进行了焦点小组讨论和访谈。研究人员深入了解了实施劳动力再设计以提供量身定制的患者跌倒教育的障碍和促进因素。结果出现了三个关键主题：（i）健康助理提供医院患者教育是可行的；（ii）患者参与了由健康助理提供的医院跌倒预防教育；（iii）如果得到全系统的支持，医院劳动力的重新设计可以成功实施。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.